Homma Y, Ohsaki Y, Kirisawa T, Kawakami Y, Irie T, Murao M
Hokkaido Igaku Zasshi. 1980 May;55(3):207-21.
In order to elucidate the interrelationship between pulmonary emphysema and chronic bronchitis, 23 adult patients with chronic obstructive pulmonary disease were examined during life by selective alveolo-bronchography. They were classified according to radiologic criteria as centrilobular or panlobular emphysema or chronic bronchitis and according to clinical criteria as A, B or X types. A and B clinical types proposed by Burrows and Fletcher were almost in agreement respectively with emphysema and chronic bronchitis based on x-ray criteria. However, no correlation between A-type and panlobular emphysema or between B-type and centrilobular emphysema were observed. Centrilobular emphysema was diagnosed in 4 patients who had no history of findings of bronchitis. This suggests that inflammation of airways is not necessarily a cause of centrilobular emphysema. As a result, selective alveolo-bronchography was thought to be useful method to diagnose the type and severity of emphysema.
为了阐明肺气肿与慢性支气管炎之间的相互关系，对23例慢性阻塞性肺疾病成年患者在生前进行了选择性肺泡支气管造影检查。根据放射学标准，将他们分为小叶中心型或全小叶型肺气肿或慢性支气管炎，并根据临床标准分为A、B或X型。Burrows和Fletcher提出的A和B临床类型分别与基于X线标准的肺气肿和慢性支气管炎几乎一致。然而，未观察到A型与全小叶型肺气肿之间或B型与小叶中心型肺气肿之间存在相关性。在4例无支气管炎病史的患者中诊断出小叶中心型肺气肿。这表明气道炎症不一定是小叶中心型肺气肿的病因。因此，选择性肺泡支气管造影被认为是诊断肺气肿类型和严重程度的有用方法。
